Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KINGSPORT AMBULATORY SURGERY CTR

NPI: 1053404574 · KINGSPORT, TN 37660 · Ambulatory Surgical Clinic/Center · NPI assigned 10/02/2006

$8K
Total Medicaid Paid
15
Total Claims
13
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialMORAN, JENETHA (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date10/02/2006

Related Entities

Other providers sharing the same authorized official: MORAN, JENETHA

ProviderCityStateTotal Paid
CARONDELET ST. MARY'S NORTHWEST, LLC TUCSON AZ $6.07M
MAGNOLIA SURGERY CENTER LIMITED PARTNERSHIP WESTMINSTER CA $4.64M
PARKWAY SURGERY CENTER, LLC HENDERSON NV $609K
LIBERTY AMBULATORY SURGERY CENTER, LLC JERSEY CITY NJ $13K
25 EAST SAME DAY SURGERY LLC CHICAGO IL $0.00
VBOA ASC PARTNERS LLC BROWNSVILLE TX $0.00
TERRE HAUTE SURGICAL CENTER LLC TERRE HAUTE IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 13 $8K